HomeMy WebLinkAboutMarx - Form 410_2024-11-22_Termination_Redacted1667033
Statement of Organization
Recipient Committee
Statement Type ❑ Initial ❑ Amendment
0 Not yet qualified
or
0 Date qualification threshold met Date qualification threshold met
M
Jan Marx for City Council 2024
STREET ADDRESS (NO P.O. BOX)
M_=
CITY STATE ZIP CODE AREA CODE/PHONE
San Luis Obispo CA 93405
FULL MAILING ADDRESS (IF DIFFERENT)
E-MAIL ADDRESS OF COMMITTEE (REQUIRED) / FAX (OPTIONAL)
janmarx®stanfordalumni.org
COUNTY OF DOMICILE IJURISDICTION WHERE COMMITTEE IS ACTIVE
Attach additional information on appropriately labeled continuation sheets.
Termination — See Part 5
Date of termination
l�
—�/q,?-t 20 2 q
NAME OF TREASURER
Gregory Griffin
STREET ADDRESS (NO P.O. B
Date Stamp
RECEIVED
NOV 2 2 2024
SLO CITY CLERK
EMAIL ADDRESS OF TREASURER (REQUIRED)
NAME OF ASSISTANT
�TREASURER, IF ANY
STREET ADDRESS (NO P.O. B
EMAIL ADDRESS OF ASSISTANT TREASURER (REQUIREDI
NAME OF PRINCIPAL OFFICER(S)
STREET ADDRESS IND P.O. B
EMAIL ADDRESS OF PRINCIPAL OFFICER(S)
CITY
San Luis Obi
CITY
CITY
For official Use Only
STATE ZIP CODE
CA 93401
AREA CODE/PHONE
STATE ZIP CODE
AREA CODE/PHONE
STATE ZIP CODE
AREA CODE/PHONE
I have used all reasonable diligence in preparing this statement and to the best of my knowledge the information contained herein is true and complete. I certify under
penalty of perjury under the laws of the State of California that the fQrefic6Me is true and c&ret:t.
Executed on 11/22/2024 By Gregory Griffin
DATE
Executed on 11/22/2024 By Jan Marx
DATE SIG NATU RE OFNaPROPONENT
Executed on By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
Executed on By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE,OR STATE MEASURE PROPONENT
FPPC Form 410 (October/2023)
FPPC Advice: advicePfppc.ca.xov (866/275-3772)
W W W.fPPc.ca. Roy